Stacey, James Lee

Stacey, James Lee is an sole proprietor health care provider with primary practice located at 1337 Howe Ave Ste 107 , Sacramento CA 95825-3305. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Stacey, James Lee can be contacted via phone (916) 564-5010.

Contact Information

Primary practice address
1337 Howe Ave Ste 107 Sacramento CA 95825-3305
Phone: (916) 564-5010
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 636 Tennessee

Profile Details

NPI number 1346596913
LBN Legal business name Stacey, James Lee
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2012
Last updated Apr 8th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346596913 NPPES
California Other 2592 CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
California Other 636 CALIFORNIA BOARD OF OCCUPATIONAL THERAPY

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